The Evidence for HIV Self-Testing to Increase HIV Testing Rates and the Implementation Challenges that Remain.

The Evidence for HIV Self-Testing to Increase HIV Testing Rates and the Implementation Challenges that Remain.
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DOI:
10.1007/s11904-020-00504-3
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发表时间:
2020-08
影响因子:
4.6
通讯作者:
Akasreku B
Akasreku B
中科院分区:
医学2区
文献类型:
--
作者:
Kelvin EA;Akasreku B

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我们描述了有关提供艾滋病毒自我检测(HIVST)的影响的证据,并探讨了在设计和实施艾滋病毒自我检测方案时需要填补的空白。大量随机对照试验发现,提供艾滋病毒检测可以提高艾滋病毒检测率。然而,这些试验使用的是免费提供的口服艾滋病毒检测试剂盒,并且没有研究检查提供基于血液的(手指穿刺)试剂盒或艾滋病毒检测试剂盒收费的影响。这些试验还使用了各种分发艾滋病病毒检测试剂盒的方法,但是很少有比较分发方法的研究。研究参与者在提供选择时选择的HIV检测方法各不相同,这表明可能需要提供多种HIV检测选项以最大化检测率。尽管不断发现提供艾滋病毒性传播检测可以提高艾滋病毒检测率,但为了最大限度地发挥这一新的生物医学技术的潜力,仍然需要回答一些问题。
We describe the evidence regarding the impact of offering HIV self-testing (HIVST) and explore the gaps that need to be filled to design and implement HIVST programs. Numerous randomized controlled trials found that offering HIVST increases HIV testing rates. However, these trials used an oral HIVST that was provided for free and there is no research examining the impact of offering blood-based (finger-prick) kits or charging for HIVST kits. The trials also used various methods for distributing the HIVST kits but there is little research comparing distribution methods. Study participants varied in the HIV testing method they chose when given choices, suggesting that offering multiple HIV testing options may be needed to maximize testing rates. Despite the consistent finding that offering HIVST increases HIV testing rates, questions remain that need to be answered in order to maximize the potential of this new biomedical technology.
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